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APPLICATION FOR A SIGN PERMIT, DANE COUNTY, WISCONSIN PERMIT NO. i 2O06—/322 <br /> The undersigned hereby applies for a permit to erect a sign as described below. <br /> The undersigned declares that the statements made below are true and that the FEE 6 <br /> proposed 'sign and its location are all in full compliance with all laws and ordi- <br /> nances applicable thereto. <br /> Town 01 Ala d o1N-_ PI /� Section 3(0 1 AG�'/J6 5CU <br /> Lot 3 Block Subdivision C S I T 2 v 6 Y / () 20 - 3 /Y — / C/ YI9 <br /> Land owner Sign owner <br /> (0/ID-- PIN'11-- Drlvs-P LL() &--70-3._ pow)._ briv'-e LAX... <br /> 31)6 6 (✓ • L as n5 >^ a uj 3 0 Co Co 6 - Gvf ,i nn /9 <br /> M0 di s or, (ac) J S 3-7'0`` Mad-8o r/ W i S-3 7 0Y <br /> Zoning district e �3.- Sign to be installed by <br /> Type of sign Q,1 ion 6'rah4 S19 n s <br /> `i"5-3,8"x Its Ax (o ax t0 .� <br /> Dimensions .-' 1`�z" X I(o ,9>q., .c1i9. / err4 ►1C( )v. <br /> Square feet 19 0 Cost t 10/000. Me -ali1aIV, £4i 1 S- <br /> Copy 'Location <br /> MAI) agi 5 ft-C&3 N 1\ _____„..______,_ <br /> ___. a ..;.........._._ <br /> IkSk Z 1g <br /> Road /\/ V 14 o 1 I <br /> IN C id- N fT6 / <br /> Adi00l .- <br /> SI I , s eP riA , e 1. 1 IAN- IA Vui, q.) 5 <br /> •..s--- i\N< <br /> +0 Al L 4 i 1 1 <br /> Show location of this sign by "x". Show location of any adja- <br /> cent signs by "o". Show distances from nearest intersection <br /> pplicant and adjacent signs. <br /> Wa-66\-• <br /> - <br /> `� Signed <br /> Permit issued /b / O6 Inspection <br /> t By <br /> oning Supervisor <br /> 545-111(2/98) <br />